- Parexel (Albany, NY)
- **Project Lead,** **Meeting Services** We are looking for a Meeting Specialist to join our talented and supportive team of 40+ delivering high quality international ... . Completes timesheets on time . Completes/approves project related expense claims **Metrics for success** . Utilization/billability target . Contribution to… more
- GAP Solutions Inc (Albany, NY)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Data Entry Specialist to join #TeamMVP. If you have a passion for data entry and a ... or Rochester, NY 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail....Microsoft Word and Excel. Familiarity with medical terminology and claims processing. Curiosity to foster innovation and pave the… more
- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...and 2 or more years of experience in the Claims and/ or Litigation Management area.OR + Zurich Certified… more
- Kelly Services (Menands, NY)
- Claims Specialist Location: Menands, NY (Onsite) Company: Local non-profit organization Schedule: Mon-Fri, 9am-5pm Pay Rate: $24/hour to start A local nonprofit ... is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance program. This role is responsible for ensuring… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... but are not limited to: * Policy Management System Modernization * Claims Management System Modernization* Robotic Process Automation (RPA) * Mass Mailing processes… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... overpayment notification and supporting documentation such as explanation of benefits, claims and attachments. + Maintains and reconciles department reports for… more
- Allied Universal (Albany, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate… more
- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **This position will have a heavy focus on processing unemployment ... clients.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of… more
- Molina Healthcare (Albany, NY)
- Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work in the Pacific Time Zone. This role provides support for ... claims activities including reviewing and resolving member and provider...Experience:** + Call center experience + Be familiar with claims + Great computer and MS Office skills +… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Zurich NA (Albany, NY)
- Underwriting Specialist OR Executive Underwriter- MM Life Science 118829 Zurich is currently hiring an experiencedUnderwriting Specialist OR Executive ... Zurich! This role will be filled at either theUnderwriting Specialist OR Executive Underwriter- MM Life ScienceLevel.The hiring manager...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Teresian House (Albany, NY)
- …Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for ... Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with… more
- Molina Healthcare (Albany, NY)
- …Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine Medicare appeal and claim outcomes.… more
- Molina Healthcare (Albany, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Temporary and Disability Assistance, Office of Title Temporary Assistance Specialist 1 RIS or Trainee 1 or 2 (NY HELPS) Occupational Category Other ... Albany State NY Zip Code 12243 Duties Description Reporting to a Temporary Assistance Specialist 2 (RIS), the Temporary Assistance Specialist 1 (RIS) will assist… more
- New York State Civil Service (Albany, NY)
- …Yes Agency Criminal Justice Services, Division of Title Contract Management Specialist 1/Trainee Occupational Category Other Professional Careers Salary Grade 18 ... NY Zip Code 12210 Duties Description Under the direction of the Contract Management Specialist 2, the incumbents will be assigned to the DCJS' Office of Budget and… more
